Wrong forum:
This forum is not suited for the complex issue you have questions about. There is insufficient means to evaluate your history and make reasonable suggestions. Please talk to all of your doctors involved for the best advice and best wisshes for your recovery.
...Read more

Chronic adrenal insufficiency. You may consult this site for more information on this topic. http://www.mayoclinic.org/diseases-conditions/addisons-disease/home/ovc-20155636 For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex.
...Read more

Adrenal insufficienc:
You need to choose one endocrinologist and stick with them. If someone is questioning a diagnosis made by another doctor they can discuss the disagreement with that physician over the phone. What you have here is a failure to communicate. Good luck.
...Read more

3

Low adrenal function:
The adrenal glands make a number of different hormones, most importantly cortisol. When a person's adrenals cannot make normal amounts of cortisol, they are diagnosed with adrenal insufficiency, or failure. This can be due to a problem in the adrenals (infection, tumor, bleeding, auto-immune destruction) or in the pituitary or parts of the brain that control the adrenals.
...Read more

5

It can be.:
One cause of adrenal insufficiency, addison's disease, is an auto-immune disorder. The immune system mistakenly makes antibodies targeting one or more proteins in the adrenal cortex, and winds up destroying the adrenal cortex, so that the adrenals can no longer make cortisol, or other hormones. As is true for most auto-immune disorders, a tendency to develop addison's can run in families.
...Read more

6

Low cortisol :
It generally means acute (recent) drop in adrenal gland hormonal production namely cortisol, a very important and life sustaining steroid. There are many reason why some one can develop ai. Autoimmune,
infection, acute illness and trauma are a few examples. Need to discuss with an
endocrinologist if there is need for hormonal replacement.
...Read more

9

Adrenal cortex loss:
Hi. Adrenal deficiency refers to Addison's disease, primary adrenal cortical failure, where the body is deficient in two vital adrenal cortical steroid hormones, cortisol and aldosterone. Central/pituitary adrenal insufficiency is deficient only in cortisol (not aldosterone). Cortisol is a vital "stress" hormone, and is necessary for life in the long run and the acute physiologic stress setting.
...Read more

10

Stimulation Test:
Cortisol levels vary widely between individuals, and by time of day and are affected by illness. So random levels may not be helpful. A stimulation test with an injection of Cortrosyn to make the adrenals release cortisol is used. Blood is drawn just before, and 30 and 60 minutes after the Cortrosyn injection. Stimulated levels above 18-20 usually indicate normal adrenal function.
...Read more

11

Steroid replacements:
The adrenal gland produces more than one type of steroid . In adrenal crisis, the patient needs intravenous fluids, intravenous steroids and rest-true crisis to be treated in a hospital setting. With cortisol deficiency, cortisol replacement is needed.-accomplished with hydrocortisone, Prednisone etc..A deficiency of adrenal mineralcorticoid production or aldosterone, Fludrocortisone is treatment.
...Read more

13

Primary vs secondary:
The fault may lie in the pituitary which may produce too little acth. The adrenal responds normally to acth stimulation. If the gland is defective, there is impaired response to acth. In both there are low levels of corticosteroids in blood and urine, and similar electrolyte disturbances, e.G, high potassium.
...Read more

14

No stress hormones:
Can be due to autoimmune problems, infections, e.g. Tb, hiv, other, etc. Decreased production of stress hormones, can lead to fatigue, weight loss, nausea, blood pressure drops, menstrual changes, excess skin pigmentation and other symptoms. Can be a real problem if untreated and faced with acute stress like surgery or infection.
...Read more

16

Steroids:
If your adrenals have failed (called addison's disease) you need to be on adrenal replacement. This is usually hydrocortisone, maybe with Fludrocortisone too. Be careful, however. There are people treating "adrenal fatigue" with inadequate testing when in fact there is nothing wrong with the adrenals. One cannot rely on symptoms alone. An acth (cortrosyn) stim test is usually done for diagnosis.
...Read more

19

No:
Hi. No, not as in a single gene defect. Adrenal enzyme deficiencies (one gene, 2 copies for each enzyme - 1 from mom & 1 from dad) are hereditary. Adrenal insufficiency is usually autoimmune, infectious, malignant, or hemorrhagic; not single gene defects.
...Read more

Addisonian or acute adrenal crisis is a life-threatening condition that occurs when there is not enough cortisol, a hormone produced by the adrenal glands. It can manifest with fatigue, nausea, poor appetite, fever, joint pain, fatigue, coma, or seizure. Addison's disease is usually treated with daily steroid medication.
...Read more

Adrenal insufficiency is either an absent or abnormally low production and/or secretion of hormones produced by the adrenal gland. Hormones produced by the adrenal glands include those involved with salt regulation, sugar metabolism, and sex hormones (e.g. derivatives of testosterone).
...Read more